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Pisotriquetral joint ganglion

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

The non-traumatic onset of left wrist pain. On ulnar, volar aspect.

Patient Data

Age: 50 - 55 yrs
Gender: Female
x-ray

Joint space reduction, marginal osteophyte involving 1st CMC joint.

ultrasound

At the site of pain pointed by the patient, there is a lobulated, anechoic, thin-walled structure abutting the proximal aspect of the pisiform. Its neck appears to be directed to the piso-triquetral joint. There is no vascularity in the lesion. The lesion does not abut adjacent ulnar nerve.

The rest of the examination in the region of pain was normal.

Case Discussion

Findings of pisotriquetral joint ganglion. The ganglion cysts are the most common lesions in the hand and the wrist. The most common location is the dorsum of the wrist.

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